How much rates vary
Facilitymedian $87 · 10th to 90th $32 to $204Professionalmedian $34 · 10th to 90th $26 to $224
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $35.48 Median $39.81 Typical High $75.86 | Facility | None | $35.48 | $39.81 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $63.10 | Professional | None (both parts) | $28.84 | $35.48 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.32 Typical High $14.13 | Professional | 26 · Professional part | $7.41 | $8.32 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $46.77 | Professional | TC · Technical part | $21.38 | $26.92 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.38 Median $24.55 Typical High $33.88 | Professional | None (both parts) | $21.38 | $24.55 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.94 Typical High $11.48 | Professional | 26 · Professional part | $6.31 | $7.94 | $11.48 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $20.89 Typical High $25.12 | Professional | TC · Technical part | $19.05 | $20.89 | $25.12 |
BCBS Arizona Setting Facility Modifier None Typical Low $19.05 Median $81.28 Typical High $123.03 | Facility | None | $19.05 | $81.28 | $123.03 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $54.95 | Professional | None (both parts) | $28.84 | $28.84 | $54.95 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.17 Typical High $12.02 | Professional | 26 · Professional part | $6.17 | $6.17 | $12.02 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $42.66 | Professional | TC · Technical part | $22.39 | $22.39 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $109.65 Typical High $269.15 | Facility | None | $81.28 | $109.65 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $30.20 Typical High $58.88 | Professional | None (both parts) | $26.92 | $30.20 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $15.85 | Professional | 26 · Professional part | $6.76 | $8.32 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $21.88 Typical High $45.71 | Professional | TC · Technical part | $19.95 | $21.88 | $45.71 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $50.12 Typical High $501.19 | Facility | None | $35.48 | $50.12 | $501.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $29.51 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $29.51 | $223.87 | $223.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $8.13 | $70.79 | $70.79 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $21.38 | $169.82 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $50.12 | Professional | None (both parts) | $28.18 | $33.11 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $13.80 | Professional | 26 · Professional part | $7.94 | $8.71 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $24.55 Typical High $36.31 | Professional | TC · Technical part | $20.42 | $24.55 | $36.31 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $15.14 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $6.17 | $7.08 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | FX · Film X-ray | $28.18 | $28.18 | $28.18 |
Where Arizona sits
The same service costs 15.1 times more in Vermont than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 35th of 51
$34.67
VT $407FL $26.92
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.